Full Name | |
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Speciality | Family Medicine |
Location | 322 S Main St, Geddes, South Dakota |
Authorized Official Name and Position | Mark Burket (CEO) |
Authorized Official Contact | 6053373364 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 169 Geddes SD 57342-0169 Ph: (605) 337-3197 | 322 S Main St Geddes SD 57342 Ph: (605) 337-3197 |
NPI Number | 1942976931 |
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Provider Enumeration Date | 08/19/2021 |
Last Update Date | 03/11/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942976931 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |